Individual
JUDE N ATEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
19 COLUMBUS AVE, METHUEN, MA 01844-6408
(111) 111-1111
Mailing address
19 COLUMBUS AVE, METHUEN, MA 01844-6408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2285227
MA
363LF0000X
Family Nurse Practitioner
Primary
2285227
MA
Other
Enumeration date
03/27/2014
Last updated
09/05/2014
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